15D1008266 CLIA NUMBER - MEIJER PHARMACY #138

Laboratory Demographics

  • CLIA Code: 15D1008266
  • Facility Name: MEIJER PHARMACY #138
  • Facility Address: 10301 SR 37/MAYSVILLE RD
    FORT WAYNE, IN
    ZIP 46835
  • Facility Phone: 260 492-1310
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACQUELINE MORSE
  • NPI Number: 1174893978
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D1008266
LAB Type Pharmacy
Facility Name MEIJER PHARMACY #138
Street 10301 SR 37/MAYSVILLE RD
City FORT WAYNE
State IN
ZIP 46835
Phone 260 492-1310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Pharmacy
Lab Director JACQUELINE MORSE

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This page was last updated on: 9/29/2025